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Article
Publication date: 1 October 2001

Phil Woods, Val Reed and Mick Collins

One of the challenging facets of mental health care can be that of trying to deal with a patient's level of insight. Problems that seem apparent to assessing practitioners are…

Abstract

One of the challenging facets of mental health care can be that of trying to deal with a patient's level of insight. Problems that seem apparent to assessing practitioners are sometimes not regarded in the same way by the patient. Measuring a concept like insight is not easy. The Behavioural Status Index (BSI) breaks insight into components and measurable criteria. Such a measurement instrument provides opportunities for detailed analysis of function, opportunity for very specific interventions, further detailed assessment and measurement of progress. This paper begins with a theoretical introduction to the concept of insight and a description of the BSI. Data analysis then follows for the BSI insight subscale. Data were collected, using a repeated measures method from a sample of 503 individual patients in two high‐security mental health hospitals. Results are reported for the central tendency and spread of items; the differences between the Mental Health Act 1983 classifications of mental illness, psychopathic disorder and learning disabilities, patient‐ward dependency level and gender; and the relationship between items, within the subscale. The relationship between items suggests two distinct groupings of acceptive (the ability to recognise and differentiate inner feelings of tension or anger) and cognitional (conscious awareness of inner states) behaviours.

Details

The British Journal of Forensic Practice, vol. 3 no. 3
Type: Research Article
ISSN: 1463-6646

Article
Publication date: 3 November 2009

Jean Adams, Sandra Steele, Alyson Kettles, Helen Walker, Ian Brown, Mick Collins, Susan Sookoo and Phil Woods

The aim of the paper is to share the experience of multi‐national, funded research practice and to explore some of the issues related to conducting such studies in forensic…

Abstract

The aim of the paper is to share the experience of multi‐national, funded research practice and to explore some of the issues related to conducting such studies in forensic practice. The BEST Index is a normative forensic risk assessment instrument that can be implemented through the different levels of security. It benefits the patient as it is a structured assessment instrument for assessing, planning, implementing and evaluating care in the context of risk assessment. A large‐scale, five‐country EU‐funded study was conducted to validate the instrument and to develop educational tools. Some published description of research experience exists but does not cover the issues for people new to high‐level research studies or the partnership working that is required to make multi‐national, multi‐lingual studies work to the benefit of the patient. Many issues arose during the study and those considered important to deal with, and the actions taken, are described, including ethical issues, management and organisational issues, and ‘the long haul’. Being new to research and coming straight in to this kind of large‐scale clinical research requires preparation and thought.

Details

The British Journal of Forensic Practice, vol. 11 no. 4
Type: Research Article
ISSN: 1463-6646

Keywords

Article
Publication date: 22 May 2019

Helen Walker, Lindsay Tulloch, Karen Boa, Gordon Ritchie and John Thompson

A major difficulty identified many years ago in psychiatric care is the shortage of appropriate instruments with which to carry out valid and reliable therapeutic assessments…

Abstract

Purpose

A major difficulty identified many years ago in psychiatric care is the shortage of appropriate instruments with which to carry out valid and reliable therapeutic assessments which are behaviourally based and therefore appropriate for use in a variety of contexts. The aim of this project was to ascertain the utility of a forensic nursing risk assessment tool - Behavioural Status Index (BEST-Index). The paper aims to discuss these issues.

Design/methodology/approach

A multi-site cross-sectional survey was undertaken using mixed method design. Quantitative data was generated using BEST-Index to allow comparisons across three different levels of security (high, medium and low) in Scotland and Ireland. Qualitative data were gathered from patients and multi-disciplinary team (MDT) members using semi-structured interviews and questionnaire.

Findings

Measured over an 18-month period, there was a statistically significant improvement in behaviour, when comparing patients in high and medium secure hospitals. Two key themes emerged from patient and staff perspectives: “acceptance of the process” and “production and delivery of information”, respectively. The wider MDT acknowledge the value of nursing risk assessment, but require adequate information to enable them to interpret findings. Collaborating with patients to undertake risk assessments can enhance future care planning.

Research limitations/implications

Studies using cross-section can only provide information at fixed points in time.

Practical implications

The BEST-Index assessment tool is well established in clinical practice and has demonstrated good utility.

Originality/value

This project has served to highlight the unique contribution of BEST-Index to both staff and patients alike and confirm its robustness and versatility across differing levels of security in Scottish and Irish forensic mental health services.

Details

Journal of Forensic Practice, vol. 21 no. 2
Type: Research Article
ISSN: 2050-8794

Keywords

Article
Publication date: 1 October 2001

Norman McClelland, Graham Towl and David Crighton

Abstract

Details

The British Journal of Forensic Practice, vol. 3 no. 3
Type: Research Article
ISSN: 1463-6646

Abstract

Details

Research on Professional Responsibility and Ethics in Accounting
Type: Book
ISBN: 978-1-84855-377-4

Article
Publication date: 1 March 1991

Jack Dodson

Discusses the thatching industry, looking at the main thatchmaterials together with their characteristics, to provide a briefanalysis of how thatch works, in particular its water…

Abstract

Discusses the thatching industry, looking at the main thatch materials together with their characteristics, to provide a brief analysis of how thatch works, in particular its water resistance. Outlines the basic items to look for when compiling an up‐to‐date report on any particular thatch. Provides a glossary of thatching terms. Suggests that each thatched roof should be assessed on its merits, and advice sought from either the local Master Thatcher′s Association, or a fully experienced and reputable thatcher.

Details

Structural Survey, vol. 9 no. 3
Type: Research Article
ISSN: 0263-080X

Keywords

Article
Publication date: 1 May 1998

Brian H. Kleiner

Presents a special issue, enlisting the help of the author’s students and colleagues, focusing on age, sex, colour and disability discrimination in America. Breaks the evidence…

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Abstract

Presents a special issue, enlisting the help of the author’s students and colleagues, focusing on age, sex, colour and disability discrimination in America. Breaks the evidence down into manageable chunks, covering: age discrimination in the workplace; discrimination against African‐Americans; sex discrimination in the workplace; same sex sexual harassment; how to investigate and prove disability discrimination; sexual harassment in the military; when the main US job‐discrimination law applies to small companies; how to investigate and prove racial discrimination; developments concerning race discrimination in the workplace; developments concerning the Equal Pay Act; developments concerning discrimination against workers with HIV or AIDS; developments concerning discrimination based on refusal of family care leave; developments concerning discrimination against gay or lesbian employees; developments concerning discrimination based on colour; how to investigate and prove discrimination concerning based on colour; developments concerning the Equal Pay Act; using statistics in employment discrimination cases; race discrimination in the workplace; developments concerning gender discrimination in the workplace; discrimination in Japanese organizations in America; discrimination in the entertainment industry; discrimination in the utility industry; understanding and effectively managing national origin discrimination; how to investigate and prove hiring discrimination based on colour; and, finally, how to investigate sexual harassment in the workplace.

Details

Equal Opportunities International, vol. 17 no. 3/4/5
Type: Research Article
ISSN: 0261-0159

Keywords

Article
Publication date: 1 September 1998

Paul Herbig and Lawrence Jacobs

Explores the influence of Japan’s culture on its innovative strengths and weaknesses. Indicates that Japan is good at evolutionary and process innovation but not so hot on…

2400

Abstract

Explores the influence of Japan’s culture on its innovative strengths and weaknesses. Indicates that Japan is good at evolutionary and process innovation but not so hot on inventing. Links this to Hofstede’s cultural dimensions, comparing Japanese with US results. Attempts to link Japanese cultural attributes to rice and its consequent agricultural system and associated human relations. Devotes a section each to Japanese collectivism, power, uncertainty avoidance, masculinity/femininity, and Confucianism. Finds that Japanese culture does not promote individuality or risk‐taking (unlike the US), but does excel at process technology.

Details

Cross Cultural Management: An International Journal, vol. 5 no. 3
Type: Research Article
ISSN: 1352-7606

Keywords

Book part
Publication date: 10 December 2016

David Nemer and David Hakken

In this paper, we examine the social stratification in the favelas, urban slums, both in general and how it correlates with technology. The analysis is based on Weberian…

Abstract

Purpose

In this paper, we examine the social stratification in the favelas, urban slums, both in general and how it correlates with technology. The analysis is based on Weberian stratification theory, since it provides for a broad understanding of the different factors that make up the digital inequalities.

Methodology/approach

Based on a 10-month critical ethnographic research dealing with LAN houses and state supported telecenters in the favelas of Vitória, Brazil, we analyze how the use of technology by residents of such marginalized areas expands our understanding of Weber’s axes of stratification, namely class, status and political power. The data was drawn from user observations, Facebook interactions, and 76 semi-structured interviews.

Findings

The drug cartel members belonged to the higher class of favela residents due to their access to material resources and ability to afford smartphones and data plans. However, in terms of status groups, they did not represent the pinnacle of the community. Where status was concerned, the highest stratum of the community was composed of the “Facebook’s celebrities,” the few teenagers who knew how to produce content online, such as images and videos. An additional axis of social differentiation, related to political power, was observed during the 2013 protests in Brazil. Favela residents arrived late to the event and found themselves “fighting” for demands stipulated previously by the organizers who belonged to upper classes.

Originality/value

We highlight what access to ICTs can, and cannot, accomplish in a “highly disorganized,” conflict-ridden, and institution-poor environment. With that we hope to encourage academics and practitioners to do a better job in developing appropriate policies and technologies.

Details

Communication and Information Technologies Annual
Type: Book
ISBN: 978-1-78635-481-5

Keywords

Content available
Article
Publication date: 1 March 2007

Bonita L. Betters-Reed and Lynda L. Moore

When we take the lens of race, ethnicity, gender, and class to the collected academic work on women business owners, what does it reveal? What do we really know? Are there…

2616

Abstract

When we take the lens of race, ethnicity, gender, and class to the collected academic work on women business owners, what does it reveal? What do we really know? Are there differing definitions of success across segments of the women businessowner demographics? Do the challenges faced by African American women entrepreneurs differ from those confronting white female entrepreneurs? Do immigrant female women businessowners face more significant institutional barriers than their counterparts who have been U.S. citizens for at least two generations? Are there similar reasons for starting their businesses?

Details

New England Journal of Entrepreneurship, vol. 10 no. 1
Type: Research Article
ISSN: 2574-8904

1 – 10 of 132